A nurse is completing a medication history for a client who reports using fish oil as a dietary supplement. Which of the following substances in fish oil should the nurse recognize as a health benefit to this client?

Correct Answer: A

Rationale: The correct answer is A: Omega-3 fatty acids. Fish oil is rich in omega-3 fatty acids, which have numerous health benefits such as reducing inflammation, improving heart health, and promoting brain function. Omega-3 fatty acids are essential for overall health and well-being. Explanation of other choices: B: Vitamin D - While important for bone health, vitamin D is not the primary substance in fish oil known for its health benefits. C: Calcium - Calcium is essential for bone health, but it is not the main substance found in fish oil. D: Iron - Iron is crucial for oxygen transport in the body but is not typically found in fish oil in significant amounts.

Correct Answer: B

Rationale: The correct answer is B: Celecoxib. Celecoxib is a COX-2 enzyme blocker, specifically designed to inhibit the COX-2 enzyme responsible for inflammation and pain. This selective action reduces the risk of gastrointestinal side effects commonly associated with non-selective NSAIDs like Diclofenac, Ibuprofen, and Naproxen, making Celecoxib a preferred choice for patients with a history of gastric ulcers or other gastrointestinal issues. Diclofenac (A), Ibuprofen (C), and Naproxen (D) are non-selective NSAIDs that inhibit both COX-1 and COX-2 enzymes, increasing the risk of gastrointestinal complications.

Correct Answer: A

Rationale: The correct answer is A: Take in the morning to mimic the body's natural corticosteroid levels. Corticosteroids should be taken in the morning as it aligns with the body's natural cortisol production, reducing the risk of disrupting the sleep-wake cycle. Administering on an empty stomach (B) can cause gastric irritation. Avoiding water with corticosteroids (C) is unnecessary. Crushing enteric-coated tablets (D) can alter the drug's absorption pattern.

Correct Answer: A

Rationale: The correct answer is A: Cyclophosphamide. Cyclophosphamide is an alkylating agent that can cause cellular changes in the cervix, leading to false positive pap test results. Methotrexate, Leflunomide, and Adalimumab do not typically affect pap test results. Therefore, Cyclophosphamide is the most likely medication to cause a false positive pap test due to its known effects on cervical cells.

Correct Answer: A

Rationale: The correct answer is A because the statement "I don’t need to go to the hospital after using it" indicates a misunderstanding of the seriousness of anaphylaxis, which requires immediate medical attention. - Choice B is correct as carrying two autoinjectors is recommended in case the first one malfunctions or a second dose is needed. - Choice C is correct as it demonstrates proper medication management by noting the expiration date. - Choice D is incorrect as injecting through clothes is acceptable in emergencies to save time. In summary, choice A is incorrect as it shows a lack of understanding of the need for further medical care after using an epinephrine autoinjector.